• 한국임상수의학회지
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• 제26권4호
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• pp.336-339
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• 2009

5킬로그램의 4년령의 중성화된 수컷 시츄견이 식욕부진과 만성 기침을 주증상으로 내원하였다. 이 환견은 병력청취, 신체검사, 임상병리검사, 방사선 진단, 심초음파 검사 및 기관지경 검사를 근거로 기관기관지 이물로 진단되었다. 그 이물은 밥알 부스러기들로 확인되었고 기관지경을 이용한 세기관지 세척 후 진공 흡인을 통해 제거되었다. 진공 흡인으로 채취된 세척 이물의 세균 및 곰팡이 배양과 폐 기생충에 대한 검사는 음성을 보였다. 환견은 진단 후 7일 동안 테오필린, 프레드니솔론, 독시사이클린, 엔로플록사신, 아세틸시스테인, 실리마린, 수크랄페이트를 처방 받았다. 이물제거와 약물치료 후 식욕의 증진과 기침 증상은 완전히 없어졌다. 이 증례 보고는 기관지경 기술을 통해 호흡기의 이물의 진단평가와 제거가 가능함을 보여준다.

• The Korean Journal of Pain
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• 제11권2호
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• pp.253-257
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• 1998

Background: The purpose of this study was to examine the extent and evaluation of pain after total abdominal hysterectomy (TAH) and to establish correlation between three types of pain; pain at rest, pain with movement and pain with coughing (maximum pain). Methods: The present study compared quality of pain during pain management in 48 patients undergoing TAH. Patients received i.v. meperidine as loading dose in the recovery room and PCA with nalbuphine 90 mg, ketorolac 180 mg, buprenorphine 0.9 mg, droperidol 5 mg, plasma solution A 28 ml for 3 days. The PCA device used was the Baxter infusor$^{(R)}$ (PCA module PC-19-55, 0.5 ml/hr basal rate, 15 minute lockout interval). Patients were then interviewed on Operative Day (OPD), Postoperative Day 1, 2, and 3 (POD 1, 2 and 3) to assess their pain on a visual analogue scale (VAS) of 0 (none) to 10 (worst imaginable). Results: The mean pain score at rest was 2.0 on OPD and decreased to 0.7 on POD 3. The mean pain score with movement was 3.2 on OPD and decreased to 1.6 on POD 3. The mean pain score with coughing was 4.2 on OPD and decreased to 2.2 on POD 3. Conclusions: Patients' experience of three types of postoperative pain emphasizes the need for more effective pain management.

• Tuberculosis and Respiratory Diseases
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• 제60권4호
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• pp.469-472
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• 2006

저자들은 과거 결핵을 앓고 진균덩이를 가진 환자로 평소 만성적인 기침과 가래 등 호흡기적 증상을 가진 환자가 객혈로 내원하여 기관지 혈관 조영 색전술을 시행하는 과정에서 촬영한 전산화 단층 촬영과 기관지 내시경에서 발견된 기관 게실을 문헌 고찰과 함께 보고하는 바이다.

• 대한한방내과학회지
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• 제21권4호
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• pp.671-676
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• 2000

Pleural effusion is a state, retention of a mount of liquid in pleural cavity. Main causes of pleural effusion is Congestive Heart Failure that is caused by left ventricular heart failure. And that of Congestive heart failure is caused by increase of pleural capillary pressure or remain of effusion in pleural cavity. Bilateral venous pressure of pleura make worse pleural effusion and one way of venous pressure of that bring out pleural effusion. The purpose of this study is to examine the efficacy of oriental treatment for pleural effusion is caused by heart failure. One woman of 86 years old complained the symptom of general weakness, dyspnea, flank pain, anorexia, insomnia, coughing, secretion mixed blood. The symptom is caused by effusion that is brought out acute pneumonia, heart failure. At the time of Admission, in the diagnosis of Admission, in the diagnosis of Hyuneum(懸飮) she had taken Kungha-tang hap pleurisy-bang,(芎夏湯合助膜炎方), so improved dyspnea, flank pain, insomnia, coughing. In views of examination, decrease of heart failure' s symptom and pleural effusion. After 13days of admission, she had taken palmul-tang.(八物湯). As a conseguence of that, the symptom of general weakness. anorexia is improved and she was discharged.

• Tuberculosis and Respiratory Diseases
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• 제51권5호
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• pp.462-465
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• 2001

상기도 감염으로 인한 발작성 기침 후 복벽 혈종을 보인 1예를 보고하였다. 복벽 혈종은 수술을 요하는 급성 복증과 감별하여야하는 질환으로, 심한 기침 후 복동이 발생한 경우 반드시 복벽 혈종을 고려하여야하며, 필요한 경우 초음파 검사나 전산화단층촬영을 시행하여 불필요한 수술을 피해야한다.

• 농촌의학ㆍ지역보건
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• 제23권2호
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• pp.259-268
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• 1998

It has been reported that among mushroom farmers, respiratory diseases such as hypersensitivity pneumonitis can be developed by inhalation of mushroom (Pleurotus ostreatus) spores. For the evaluation of respiratory symptoms among mushroom farmers, a questionnaire was made. The Questionnaire included general characteristics, past occupational histories, durations of the mushroom cultivation and characteristics of the symptoms. Following the questionnaire we interviewed the 72 mushroom farmers (12 males, 10 females) from Kyungbuk Province. We also examined white blood counts, erythrocyte sedimentation rates, eosinophil counts and total IgE counts for the 5 farmers. The results obtained are as follows. 1. The mean age among the 22 mushroom farmers was 46.9 years, and the mean duration of cultivation was 7.5 years. 2. Among the 22 mushroom farmers. 18 farmers (81.8 %) suffered from respiratory symptoms at work. The main symptom was coughing (100.0%), followed by chilling sensation (50.0 %), sputum (38.9 %) and sore throat (27.8 %). 3. Coughing and other associated symptoms occurred during work and disappeared after work or several days later when the exposure had been stopped. 4. Total IgE counts were elevated in all farmers examined the test. With above results, the respiratory symptoms that developed among mushroom farmers were typical patterns of hypersensitivity pneumonitis. Epidemiological studies and preventive measures for mushroom farmers should be established.

• Tuberculosis and Respiratory Diseases
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• 제45권4호
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• pp.882-887
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• 1998

저자들은 1년전 제산제 복용 도중 약 포장지 조각을 흡인한 사실을 모르고 지내다가 지속된 흉부 불쾌감, 기침, 호흡 곤란 등의 증상으로 내원하여 굴곡성 가관 지경으로 기관지내 이물 및 반복되는 염증으로 인한 기판지간 누공을 발견하고 이물을 제거한 1예를 경험 하였기에 문헌 고찰과 함께 보고는 바이다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
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• pp.8.5-9
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• 1977

기도 및 식도이물은 이비후과영역에서 적지않게 경험하게 된다. 그중 특히 유소아에서 발생하는 기도이물은 응급을 요하게 되며 진단 및 치료를 지체함으로써 예기치 않은 불행한 사태를 초래하기도 한다. 유소아에서 주로 보이는 기도이물의 증상은 기침, 기침음, 호흡곤란 등이며 천식, 폐염, 후두염 등으로 혼동되기도 한다. 이물의 종류파 빈도를 환자의 연령, 생활방식, 환경, 문과수준에 따라 그 양상을 달리한다. 저자들은 1975년부터 1977년 4월까지 본원에 내원하여 기도이물의 진단하에 ventilating bronchoscopy, thoracotomy (이중 1례는 사망)을 시행하여 치유된 35례를 분석하였다. 1. 연령층은 1세부터 5세까지가 48%로 가장많고 다음이 0세에서 1세까지 였다. 또한 남과여의 비는 2.1 : 1로 남자가 많았다. 2. 주증상은 호흡곤란, 기침, 기침음의 순서였다. 3. Foreign body의 종류는 peanut, metal, vegetable의 순이였다. 4. 이물의 소재는 주로 우측 주기관지 였으며 우측과 좌측의 비는 2 : 1이었다. 5. 내원까지의 기간은 24시간 이내가 65%로 가장 많았다. 6. 치료는 ventilating bronchoscopy가 27례로 가장 많았으며, 4례는 자연적으로 치유되었다. 이에 과거의 여러 보고들과 비교하여 문헌적 고찰과 함께 보고하는 바이다.

• 대한한방내과학회지
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• 제37권2호
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• pp.352-360
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• 2016

Objective: This study reports on traditional Korean medicine therapy used for pneumonia among elderly patients.Method: Two patients diagnosed with pneumonia were treated with herbal medicine and acupuncture, as well as cupping along the back. We checked chest X-rays, coughing and sputum on the visual analogue scale (VAS), and lab evaluations in order to evaluate the effectiveness of the treatment.Results: Following treatment with traditional Korean medicine therapy, VAS scores for coughing and sputum decreased and the chest X-rays and inflammation markers improved.Conclusion: Traditional Korean medicine therapy treatment appears to be effective for treating pneumonia in elderly patients.

• Annals of Rehabilitation Medicine
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• 제42권6호
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• pp.798-803
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• 2018

Objective To investigate the relationship between peak cough flow (PCF), pulmonary function tests (PFT), and severity of dysphagia in patients with ischemic stroke. Methods This study included patients diagnosed with ischemic stroke, who underwent videofluoroscopic swallowing study (VFSS), PCF and PFT from March 2016 to February 2017. The dysphagia severity was assessed using the videofluoroscopic dysphagia scale (VDS). Correlation analysis of VDS, PFT and PCF was performed. Patients were divided into three groups based on VDS score. One-way ANOVA of VDS was performed to analyze PCF, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and age among the different groups. Results The correlation coefficients of VDS and PCF, VDS and FVC, and VDS and FEV1 were -0.836, -0.508, and -0.430, respectively, all of which were statistically significant at the level of p<0.001. The one-way ANOVA indicated statistically significant differences in PCF, FVC, FEV1, and age among the VDS groups. Statistically significant differences in VDS and age were observed between aspiration pneumoia and non-aspiration pneumonia groups. Conclusion Coughing is a useful factor in evaluating the risk of aspiration in dysphagia patients. Evaluation of respiratory and coughing function should be conducted during the swallowing assessment of patients with ischemic stroke.